Individual provider Active NPI

Kim Kathleen Kottwitz, RN

  • Registered Nurse
  • Olean, NY
National Provider Identifier
1295290955
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
533179 Issued in NY
Practice address
135 N Union St
Olean, NY 14760-2736
Phone
(716) 701-6813
Fax
(701) 701-6854
NPI assigned
Feb 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 533179 NY Primary

Addresses

Primary practice location

135 N Union St
Olean, NY 14760-2736

Mailing address

135 N Union St
Olean, NY 14760-2736
Phone (716) 701-6813

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
533179NYMDRegistered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1295290955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N UNION ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147602736",
            "telephone_number": "716-701-6813",
            "fax_number": "701-701-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N UNION ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147602736",
            "telephone_number": "716-701-6813",
            "fax_number": "701-701-6854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTTWITZ",
        "first_name": "KIM",
        "middle_name": "KATHLEEN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-07",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "533179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olean, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.